Traumatic pseudoaneurysm of superficial temporal artery: A case report

Non-giant cell arteritis disease of the superficial temporal artery (STA) is rare, appearing only as case reports in the literature. There were nine patients with STA pathology. STA aneurysm (n = 1), pseudoaneurysm (n = 4), thrombosis (n = 1), and arteriovenous malformation (n = 3). Four patients had ligation and excision, three had percutaneous interventions and one had a combination of both. All patients had immediate technical success and eight of the nine total patients had follow-up. We present a variety of ways to approach these unusual pathologies with percutaneous and open techniques demonstrating very good early outcome.

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“…2 Over 90% of these have been attributed to temporal fossa trauma. 8 The first reported pseudoaneurysm was by Bartholin in 1644.…”

Section: Discussionmentioning

confidence: 99%

“…The literature consists of case reports and small case series. 1,2 In this article, we present nine patients with symptomatic pathology of the STA (excluding GCA), intervention, and follow-up Ͼ12 months for eight of our nine patients.…”

mentioning

confidence: 98%

Management of non-giant cell arteritis disease of the superficial temporal artery

Labropoulos

Meisner

Gasparis

et al. 2011

Journal of Vascular Surgery

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“…There is no age or sex preference. 5 Most pseudoaneurysms are solitary, but multiple pseudoaneurysms have been reported. 6 Pseudoaneurysms differ from true aneurysms in that blood is contained by the clot alone, whereas a true aneurysm is contained by the focal weakening of the arterial wall.…”

Section: Discussionmentioning

confidence: 99%

A post-traumatic pulsatile nodule in the right pre-auricular region

Skelton

Moody

Anderson

et al. 2015

BMJ

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A 48 year old window fitter was referred directly from his general practitioner to the maxillofacial department with an eight week history of a painless, slowly enlarging nodule in his right pre-auricular region. He had noticed the lump shortly after a minor bump on his head at work. He was otherwise fit and well.Clinical examination confirmed a 10 mm firm and pulsatile nodule in the pre-auricular region. It was non-tender and non-fixed. Differential diagnoses included epidermal inclusion (sebaceous) cyst and lipoma. However, given his history of minor trauma, the maxillofacial team requested an ultrasound examination to confirm the nature of the lesion before further intervention.Duplex ultrasound examination of the right pre-auricular region showed a pulsatile nodule adjacent to the superficial temporal artery and right parotid gland that contained turbulent arterialised blood flow. Tortuous afferent and efferent arterialised vessels were also seen adjacent to the parotid gland.

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“…The anterior branch is by far the most commonly affected. A muscular gap exists between the bellies of frontalis and temporalis where the anterior branch of the STA passes over the prominent superior temporal line, leaving the artery vulnerable to compression against this bony ridge 3,5–7,9 . Not surprisingly, the pathology of most STA aneurysms is that of a pseudoaneurysm.…”

mentioning

confidence: 99%

“…Patients (often young to middle‐aged men) typically present with a compressible, pulsatile, non‐tender mass of approximately 1–1.5 cm approximately 2 to 6 weeks after experiencing trauma to the temporal region. It may be associated with a throbbing headache, ear pain or, uncommonly, facial nerve palsy 6,9 . The pulsatile nature of the mass can be eliminated or reduced with compression of the proximal STA 3,6 .…”

mentioning

confidence: 99%